Displaying 123601-123610 of 1611142 results.
ID:
123601
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197464
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
123602
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197436
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
123603
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197437
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
123604
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197438
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
123605
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197439
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
123606
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298861
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123607
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298870
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123608
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
314034
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123609
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
198284
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
123610
Formulary ID:
00021051
Formulary Version:
15
Contract Year:
2021
RXCUI:
197316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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